Bartek Jiri, Nittby-Redebrandt Henrietta, L Sjöberg Rickard, Milos Peter, Hesselager Göran, S Jakola Asgeir
med dr, specialistläkare, neurokirurgiska kliniken, Karolinska universitetssjukhuset, Stockholm.
docent, specialistläkare, neurokirurgiska kliniken, Skånes universitetssjukhus Lund.
Lakartidningen. 2023 Jan 26;120:22100.
Treatment of adult patients with brain tumors is a multi-disciplinary effort involving several medical disciplines: neurosurgery, oncology, neurology, neuropathology, neuroradiology, and rehabilitation medicine. While the brain tumor field has gone through vast diagnostical changes during the last decade, the hopes of similar achievements in the systemic treatment of these patients with new methods have so far not been fulfilled. As such, neurosurgery still has a pivotal role in the diagnostics and treatment of brain tumor patients. Improved preoperative evaluation of the tumor and adjacent anatomical and functional brain areas, together with advanced microsurgical techniques, intraoperative mapping and monitoring, as well as new minimally invasive techniques, makes brain tumor surgery safer. Indeed, it is now possible to safely operate patients previously considered to have too unfavorable risk-benefit ratio. This article aims at presenting an overview of current neurosurgical treatments of brain tumors.
神经外科、肿瘤学、神经病学、神经病理学、神经放射学和康复医学。虽然在过去十年中脑肿瘤领域经历了巨大的诊断变革，但迄今为止，利用新方法对这些患者进行全身治疗取得类似成果的希望尚未实现。因此，神经外科在脑肿瘤患者的诊断和治疗中仍起着关键作用。对肿瘤以及相邻的脑解剖和功能区域进行更好的术前评估，再加上先进的显微外科技术、术中定位和监测以及新的微创技术，使脑肿瘤手术更加安全。事实上，现在已经能够安全地为那些以前被认为风险效益比不佳的患者进行手术。本文旨在概述当前脑肿瘤的神经外科治疗方法。
